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Retained uterine fundus after vaginal hysterectomy
Rakesh Sinha1, Smita Lakhotia, Meenakshi Sundaram
1Department of Endoscopic Surgery, Beams Hospital, Mumbai, India.
Journal of Minimally Invasive Gynecology
|February 5, 2010
Summary
A rare case of retained uterine fundus after vaginal hysterectomy was successfully removed via laparoscopy. This finding highlights the utility of laparoscopic surgery in managing complications from prior gynecologic procedures.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Vaginal hysterectomy is a common gynecologic procedure.
- Complications, though rare, can occur, necessitating further intervention.
Observation:
- A patient presented with abdominal pain 8 years post-vaginal hysterectomy.
- A supravesical mass was detected on examination.
Findings:
- Laparoscopy revealed a retained uterine fundus with cornual attachments.
- Histopathologic analysis confirmed the excised mass as uterine tissue.
Implications:
- This case represents the second reported instance of a retained uterine fundus after a complete vaginal hysterectomy.
- Laparoscopic assistance is crucial for managing such rare complications, especially when adhesions may impede complete uterine removal.
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